| NPI | 1538208863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GORDON LEE Owner 407-277-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN6040) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |